hi annaren,

from your post, i understand the history is long - 8 months and that there is multiple joint involvement with signs of vascular impediment.

I wish to suggest that you undergo certain investigations like basic x-ray, baseline hematology tests - CBC, ESR, serum uric acid, RA factor, alkaline phosphatase and C-reactive protein to rule out inflammatory pathologies.

well, kindly fix an appointment with your nearest GP or Rheumatologist/Orthopedic surgeon and go ahead accordingly.

keep me posted.

cheers,

thomas